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赴澳签证资料表格54.pdf

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Form 54 (676)(456)1. 2. (679) 3. //// //// //// //// ///// ///// ///// ///// ///// ///// • • //// ©COMMONWEALTHOFAUSTRALIA,200754(Designdate07/07) Form Familycomposition54 Areyouapplyingfora:Note: Touristvisa(676)Businessshortstay(456)1.YoumustcompletethisforminEnglishonly. 2.Youmustgivedetailsofallyourfamilymemberslivinginyourhomecountryandabroadincludinghalf,stepandadoptedbrothers,sisters Sponsoredfamilyvisitor(679)Otherandchildren(ifnotliving,write‘Deceased’inHomeaddresscolumn.Ifwhereaboutsunknown,write‘Unknown’inHomeaddresscolumn). 3.Ifyouhavebeenassistedincompletingthisform,youshouldonlysigntheDeclarationiftheinformationistrueandcorrectandhasbeen includedwithyourfullknowledge,consentandunderstanding. FamilyFamilynameGivennamesDateofbirthMaritalstatusHomeaddressPreviousvisitstoAustralia composition(Married,engaged,defacto,separated, DAYMONTHYEARdivorced,widowedornevermarried)DAYMONTHYEAR Yourself//// Spouse//// Father//// Mother//// Brother/sister//// Brother/sister//// Brother/sister//// Son/daughter//// Son/daughter//// Son/daughter//// Declaration Ideclarethat: •theinformationIhavegivenonthisformiscompleteSignatureofapplicantSignatureofwitness andcorrect. •inanysectionofthisformwhichhasbeencompleted withtheassistanceofanotherperson,theinformationDAYMONTHYEARDAYMONTHYEAR assetdownistrueandcorrectandhasbeenincluded// withmyfullknowledge,consentandunderstanding.Date//Date ©COMMONWEALTHOFAUSTRALIA,200754(Designdate07/07)